Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.41 / $2,660.00 / $6,050.67	Facility		$681.41	$2,660.00	$6,050.67
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,836.90 / $3,941.28 / $6,747.93	Facility	50	$1,836.90	$3,941.28	$6,747.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.80 / $601.28 / $916.05	Professional		$426.80	$601.28	$916.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $593.60 / $1,201.23 / $1,446.99	Professional	50	$593.60	$1,201.23	$1,446.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,523.37 / $9,794.69	Facility		$2,796.70	$4,523.37	$9,794.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.72 / $757.26 / $935.04	Professional		$488.72	$757.26	$935.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.92 / $623.84 / $964.54	Professional		$444.92	$623.84	$964.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $424.52 / $741.74 / $2,178.62	Professional		$424.52	$741.74	$2,178.62
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $516.04 / $521.08 / $704.44	Professional		$516.04	$521.08	$704.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $796.56	Professional		$32.34	$32.34	$796.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.10 / $638.45 / $1,071.50	Professional		$482.10	$638.45	$1,071.50